Job Application

The Company is an Equal Opportunity Employer and does not discriminate because of race, color, religion, sex, national origin, age, marital status, citizenship status, disability, status as a veteran or veteran of the Vietnam era, or any other prohibited status in accordance with the requirements of all federal, state, and local laws.

Name*

Email Address*

Address

Street AddressCityStateZIP Code

Looking to work

Full Time

Part Time

Telephone No.*

Date you can start*

Desired Salary

Days Available

Sun

Mon

Tue

Wed

Thu

Fri

Sat

TotalHours

HoursAvailable

From

To

Have you ever worked for the company or its subsidiaries?

Yes

No

If "Yes", where?

Have you ever been convicted or pled "Guilty" or "No Contest" to a felony?

Yes

No

If "Yes," please explain.

Are you legally authorized to work in the United States?

Yes

No

Are you 18 years of age or older?

Yes

No

Do you have a valid Driver’s License?

Yes

No

License Class

DOT Certified?

Yes

No

Have you ever had a suspension or probation of your Driver's License within the last five years?

Yes

No

List any traffic violations in the last five years (your Driver's License will be checked). Note that if hired, you will be required to show your Driver's License to verify the number.

Are you currently covered by an Employment Agreement or Non-Compete Agreement?

Yes

No

If "Yes," please explain.

Education

Did you attend high school?

Yes

No

High School Name and Location

High School Years Completed

Did you graduate high school

Yes

No

Course of Study

Diploma / Degree

Did You Attend College?

Yes

No

College Name and Location

College Years completed

Did you graduate from College?

Yes

No

College Course of Study

College Diploma / Degree

Other Schooling?

Yes

No

Other School Name and Location

Other School Years Completed

Did You Graduate?

Yes

No

Other School Course Study

Other School Diploma / Degree

Employment History

Complete this section in full, even if you are attaching a resume or other documents. Be sure to list your most recent position first.

Company Name

company Telephone

Address

Street AddressCityStateZIP Code

Employed (month and year) From / To

Salary (Start / End)

Job Title

Manager's Name

Describe the Type of Work you performed

May we contact this employer? (y/n)

Yes

No

If "No", why?

Reason for Leaving

Employer 2

Company Name

Company Telephone

Address

Street AddressCityStateZIP Code

Employed (month and year) From / To

Salary (Start / End)

Job Title

Manager's Name

Describe the Type of Work you performed

May we contact this employer? (y/n)

Yes

No

If "No", why?

Reason for Leaving

Employer 3

Company Name

company Telephone

Address

Street AddressCityStateZIP Code

Employed (month and year) From / To

Salary (Start / End)

Job Title

Manager's Name

Describe the Type of Work you performed

May we contact this employer? (y/n)

Yes

No

If "No", why?

Reason for Leaving

Resume Upload

Upload your resume

Accepted file types: pdf, doc.

Applicant Statement

I certify that the information provided on this Application is true and gives the Company, its subsidiaries, and its agents the right to investigate all
references and information given by me in this Application. I hereby consent to an examination, including screening for drugs and/or chemical
intoxicants. I understand that if I test positive for drugs or refuse to be tested, I will be removed from further consideration at this time. I hereby release
all claims against the Company, its team members, and its agents, and any person supplying information to them. I certify that I received written notification that this Company may obtain consumer reports on me, and I authorize this Company to obtain such reports in connection with my application for employment and for other employment-related reasons. If hired, this authorization will remain on file as on-going authorization for the procurement of employment-related consumer reports at any time during my employment. I understand that the term “consumer report” includes, but is not limited to credit checks, criminal background checks, Motor Vehicle Records (MVR) reports, and investigative consumer reports. I further understand that the term “investigative consumer reports” means a report in which information on my character, general reputation, personal
characteristics, or mode of living is obtained through personal interviews with my neighbors, friends, or associates, or others with whom I am acquainted or who may have knowledge concerning any such information. I understand that false statements or omissions of facts are cause for refusal to hire or immediate dismissal. I understand that my employment with the Company does not constitute a contractual relationship and may be terminated according to local, state, and federal laws. The Company is liable only for wages or salary earned up through the date of such termination. I further understand that I have the right to terminate my employment at any time, with or without notice or reason, and that the Company has the same right. No one other than the CEO of White Hat Corporation has the authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing. Finally, my signature below authorizes the Company, upon my employment termination, to deduct any debts owed to the Company from my final paycheck. This Application is valid for 60 days.